Healthcare Provider Details

I. General information

NPI: 1700247996
Provider Name (Legal Business Name): ROBBIE SEARS RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2016
Last Update Date: 03/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3986 BOULEVARD CENTER DR STE 1
JACKSONVILLE FL
32207-2819
US

IV. Provider business mailing address

7867 CHASE MEADOWS DR E
JACKSONVILLE FL
32256-4642
US

V. Phone/Fax

Practice location:
  • Phone: 904-398-1983
  • Fax:
Mailing address:
  • Phone: 904-891-8999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS31572
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: